Graduated: 2025
NPI: 1699637611
Practice Locations (4)
339 STARS AND STRIPES
FISCHER, TX 786231928
100 INDEPENDENCE PL, SUITE 307
TYLER, TX 757031336
15811 AMBAUM BLVD SW, SUITE 110
Burien, WA 981663071
15811 AMBAUM BLVD SW, SUITE 110
BURIEN, WA 981663071
Source: CMS National Downloadable File, September 2026.